Individual provider Active NPI

Dianna Marie D Amore, MSPT, DPT

  • Pediatric Physical Therapist
  • Staten Island, NY
National Provider Identifier
1689810566
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
028295-1 Issued in NY
Practice address
15 Greencroft Ave
Staten Island, NY 10308-3035
Phone
(718) 986-5037
NPI assigned
Dec 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 028295-1 NY Primary

Addresses

Primary practice location

15 Greencroft Ave
Staten Island, NY 10308-3035

Mailing address

15 Greencroft Ave
Staten Island, NY 10308-3035
Phone (718) 986-5037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028295-1NYMDPediatric Physical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1689810566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GREENCROFT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083035",
            "telephone_number": "718-986-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GREENCROFT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083035",
            "telephone_number": "718-986-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D AMORE",
        "first_name": "DIANNA MARIE",
        "name_prefix": "Dr.",
        "credential": "MSPT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-26",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "028295-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.